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Impact of Sex Differences and Diabetes on Coronary Atherosclerosis and Ischemic Heart Disease.


ABSTRACT: Cardiovascular diseases (CVD) including coronary artery disease (CAD) and ischemic heart disease (IHD) are the main cause of mortality in industrialized countries. Although it is well known that there is a difference in the risk of these diseases in women and men, current therapy does not consider the sexual dimorphism; i.e., differences in anatomical structures and metabolism of tissues. Here, we discuss how genetic, epigenetic, hormonal, cellular or molecular factors may explain the different CVD risk, especially in high-risk groups such as women with diabetes. We analyze whether sex may modify the effects of diabetes at risk of CAD. Finally, we discuss current diagnostic techniques in the evaluation of CAD and IHD in diabetic women.

SUBMITTER: Madonna R 

PROVIDER: S-EPMC6351940 | biostudies-other | 2019 Jan

REPOSITORIES: biostudies-other

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Impact of Sex Differences and Diabetes on Coronary Atherosclerosis and Ischemic Heart Disease.

Madonna Rosalinda R   Balistreri Carmela Rita CR   De Rosa Salvatore S   Muscoli Saverio S   Selvaggio Stefano S   Selvaggio Giancarlo G   Ferdinandy Péter P   De Caterina Raffaele R  

Journal of clinical medicine 20190116 1


Cardiovascular diseases (CVD) including coronary artery disease (CAD) and ischemic heart disease (IHD) are the main cause of mortality in industrialized countries. Although it is well known that there is a difference in the risk of these diseases in women and men, current therapy does not consider the sexual dimorphism; i.e., differences in anatomical structures and metabolism of tissues. Here, we discuss how genetic, epigenetic, hormonal, cellular or molecular factors may explain the different  ...[more]

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